Use of cognitive interviews to develop PrEP education for men in New York and Alabama

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub Date : 2025-06-06 DOI:10.1016/j.pec.2025.109221

Maeve Brin , Emma Sophia Kay , Asa Radix , Uri Belkind , D. Scott Batey , Stephen Ferrara , Mary Tanner , Carla Galindo , Sydney Fontalvo , James Kenniff , Rebecca Schnall

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引用次数: 0

Abstract

Objectives

We conducted cognitive interviews on a two-module PrEP training series developed by our study team to assess how clear, appropriate, and useful the videos are for gay, bisexual, and other men who have sex with men (collectively referred to as MSM) who are taking or interested in starting PrEP.

Methods

MSM aged 18–39 were recruited through convenience sampling to participate in cognitive interviews during which study staff screen-shared the PrEP training series and asked open-ended questions on the modules’ script content, visuals and graphics, and audio. Audio recordings were transcribed and analyzed for common themes using a codebook guided by Fogg’s Functional Triad, a theoretical framework which describes the persuasive functions of technology as a tool, media, and a social actor.

Results

Thirty participants completed cognitive interviews between November 2023 and January 2024. Common feedback included that the PrEP training videos were a useful tool for those who were either looking to start or continue PrEP use. Further, participants appreciated that the videos were inclusive of diverse populations who may benefit from PrEP, and noted that they should include important topics such as access to PrEP and plain language to improve comprehension of material.

Conclusions

Our study applied Fogg’s Functional Triad to identify ways in which our PrEP training series can facilitate PrEP uptake and adherence and allowed us to understand how this video series may be perceived prior to sharing it with the general public during our mChoice implementation study.

Practice Implications

The training series has the potential to promote shared decision making in a healthcare setting. Feedback collected during cognitive interviews demonstrates the need for clear and comprehensive PrEP educational tools made specifically for patients as well as the need for involvement of the priority intervention audience in the creation of the training materials prior to their release to the public.

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使用认知访谈在纽约和阿拉巴马州发展PrEP教育

我们对研究小组开发的两个模块的PrEP培训系列进行了认知访谈，以评估这些视频对同性恋、双性恋、方法通过方便抽样的方式招募18-39岁的男男性行为者参加认知访谈，在此过程中，研究人员通过屏幕分享PrEP培训系列，并就模块的脚本内容、视觉和图形以及音频提出开放式问题。录音被转录和分析为共同的主题，使用福格功能三合一指导的密码本，这是一个理论框架，描述了技术作为工具、媒体和社会行动者的说服功能。结果30名参与者在2023年11月至2024年1月期间完成了认知访谈。常见的反馈包括，PrEP培训视频对于那些希望开始或继续使用PrEP的人来说是一个有用的工具。此外，与会者赞赏录象包括可能从预防教育中受益的不同人群，并指出录象应包括诸如获得预防教育和用简单的语言增进对材料的理解等重要主题。我们的研究应用了Fogg的功能三元组来确定我们的PrEP培训系列可以促进PrEP的吸收和坚持的方式，并使我们能够在我们的mChoice实施研究中与公众分享之前了解该视频系列如何被感知。实践意义该培训系列有可能促进医疗保健环境中的共同决策。在认知访谈中收集的反馈表明，需要专门为患者制定明确和全面的PrEP教育工具，也需要在向公众发布培训材料之前，让重点干预对象参与编写培训材料。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.